Paul Michael Stover, MD in Green Bay, WI

Paul Michael Stover, MD is a medicare enrolled "Dermatology" physician in Green Bay, Wisconsin. His current practice location is 2806 Riverview Dr, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 498-7546.

Paul Michael Stover is licensed to practice in Wisconsin (license number 38944-020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548264336.

Contact Information

	Paul Michael Stover, MD
	2806 Riverview Dr, Green Bay, WI 54313-6717
	(920) 498-7546
	(920) 569-4129

Map and Direction

Physician's Profile

Full Name	Paul Michael Stover
Gender	Male
Speciality	Dermatology
Location	2806 Riverview Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548264336
Provider Enumeration Date: 06/09/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6507823499
Enrollment ID: I20171214001649

Medical Identifiers

Medical identifiers for Paul Michael Stover such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548264336	NPI	-	NPPES
000817140	Other	WI	MEDICARE
1548264336	Medicaid	WI
P00338098	Other	WI	RAILROAD MEDICARE
38944-020	Other	WI	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	38944-020 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Paul Michael Stover allows following entities to bill medicare on his behalf.

Entity Name	Dermatology And Skin Cancer Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205880846 PECOS PAC ID: 5294721486 Enrollment ID: O20050721001106

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Michael Stover is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Paul Michael Stover, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 683-5278	Paul Michael Stover, MD 2806 Riverview Dr, Green Bay, WI 54313-6717 Ph: (920) 498-7546

Reviews and Comments

Dermatology Doctors in Green Bay, WI

Frances Stahl Ballo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2806 Riverview Dr, Green Bay, WI 54313 Phone: 920-498-7546 Fax: 920-569-4129
Dr. Michael James Smullen, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1239 W Mason St, Green Bay, WI 54303 Phone: 920-499-0696 Fax: 920-499-0697
Eduardo K Moioli, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Dr. Daniel P Hertel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 Fax: 920-288-8462
Timothy Richard Von Seth, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2360 Duck Creek Pkwy, Green Bay, WI 54303 Phone: 920-965-0345
Kevan G Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3059 Voyager Dr, Green Bay, WI 54311 Phone: 920-965-0345 Fax: 920-257-4559

Paul Michael Stover, MD - Medicare Dermatology in Green Bay, WI